- Henry Ford Health System (Detroit, MI)
- …and external revenue cycle systems to manage receivables. + Expert knowledge in all claims processing , including claims submissions , denials, and follow up ... claim forms (ie UB04 or 1500) through the claims editing software. Understands the claim editing...a healthcare revenue cycle position, preferred. + Knowledge of Medical terminology, preferred. + Knowledge of CPT/HCPCS revenue codes,… more
- BrightStar Care (Naples, FL)
- Brightstar Home Care is license Home care... medical protocol to produce a statement or claim . * Investigate rejected claims , verify this ... Collier counties for 19 years . We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of… more
- CVS Health (Harrisburg, PA)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of ... benefit language in SPDs or COCs. + Experience in research and analysis of claim processing a plus. + Demonstrated ability to handle multiple assignments… more
- University of Rochester (Albany, NY)
- …of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. + Escalates system issues preventing claims ... calls, payer website, and written communication to ensure accurate processing of claims . + Collaborate with appropriate...and follow-up for review and resolution. 5% Collaborates with Claim Edit Specialists and Patient Medical Billing… more
- CenterWell (Hickory, NC)
- …of two years' experience in the health care industry and one year experience in home health. Desired: . Six months medical records experience in a clinic, ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more
- Walmart (Orlando, FL)
- …to determine root cause of issues for example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance ... rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other… more
- Bluestone Physician Services (Stillwater, MN)
- …Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but is not ... with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for...plans + Knowledge of ICD-10, CPT, HCPCS codes and claim regulatory guidelines + Knowledge of medical … more
- ConvaTec (Massapequa, NY)
- **About Convatec** **Pioneering trusted medical solutions to improve the lives we touch:** Convatec is a global medical products and technologies company, ... requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private… more
- St. Luke's University Health Network (Allentown, PA)
- …and coordination of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal ... requirements, UB04 and 1500 requirements by payer, computer capabilities as related to claims production, and admitting/ medical records input as they affect … more
- US Tech Solutions (Columbia, SC)
- …of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. + Monitors ... training for the first 2 weeks, then work from home . + Performs medical reviews using established...or clinical guidelines. + Provides support and review of medical claims and utilization practices.. **Responsibilities:** +… more